The following interventions are part of the emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?
a. Remove the patient's rings.
b. Apply ice packs to both hands.
c. Apply calamine lotion to any itching areas.
d. Give diphenhydramine (Benadryl) 50 mg PO.
ANS: A
The patient's rings should be removed first because it might not be possible to remove them if swelling develops. The other orders should also be implemented as rapidly as possible after the nurse has removed the jewelry.
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An older patient is refusing to receive the influenza and pneumococcal vaccinations because he believes he is "too old." How should the nurse respond to this patient?
1. "I understand your feelings." 2. "I will report your concerns to the physician." 3. "You are likely to get sick if you do not take the vaccines." 4. "It is never too late in life to begin health promotion activities."
A patient is diagnosed with duodenal ulcers caused by a highly acidic gastrointestinal environment. Which of the following enzymes will be activated to help protect the intestinal mucosa against this acidity?
1. lipase 2. amylase 3. secretin 4. elastase
Which shows a lack of interest and caring?
a. Silence and touch b. Open-ended questions c. Clarifying d. Failure to listen
The nursing assistant performs or assists with all procedures that he or she
A) has read about in the textbook. B) has been instructed to do by a nurse. C) is permitted to do by state law. D) feels qualified to do.